- Information
- AI Chat
Respiratory Completed Shadow Health Tina Jones
Valdosta State University
Preview text
Respiratory Results | Turned In
Advanced Health Assessment - Summer 2021, NURS 6621
Return to Assignment (/assignments/482350/)
Shadow Health Support is located in Gainesville FL, where we are currently experiencing some challenging weather conditions. Response time may vary because of this. For imm assistance please visit our support site or Click here for more information (support.shadowhealth/hc/en-us)
Your use of Shadow Health is now governed by Elsevier's Privacy Policy. Click here for more information (/site_notice_dismissals?from_flash=true&site_notic (elsevier/legal/privacy-policy)
Subjective Data Collection: 21 of 21 (100%)
Chief Complaint
History of Presenting Illness
Your Results Lab Pass (/assignment_attempts/10039731/lab_pass.
Overview
Transcript
Subjective Data Collection
Objective Data Collection
Education & Empathy
Documentation
Indicates an item that you found. Indicates an item that is available to be found.
Category Scored Items
Experts selected these topics as essential components of a strong, thorough interview with this patient.
Patient Data
Not Scored
A combination of open and closed questions will yie better patient data. The following details are facts o patient's case.
Established chief complaint Reports increased breathing problems and shortness of breath Reports decreased effectiveness of inhaler
Asked about onset of symptoms Reports symptoms began two days ago
Asked about frequency and duration of SOB episodes
Reports exacerbations lasting several minutes Reports exacerbated breathing about every 4 hours since original episode Reports waking up twice a night with asthma the past 2 nights
Asked about severity of symptoms Describes asthma severity as "not full attack," bu worse than usual
Hover To Reveal...
Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions.
Suppor t
Medical History
Reports asthma has been interfering with activities of daily life
Asked about character of symptoms Reports recent wheezing Reports chest tightness Denies chest pain
Asked about cough Reports cough Cough has persisted since original asthma exacerbation 2 days ago Describes cough as "dry" Describes cough as "small" and not severe Reports cough slightly relieved by drinking water Has not treated cough with medication or home remedies
Asked about aggravating factors Reports symptoms worse at night Reports symptoms increase when lying flat on back Reports symptoms aggravated by movement
Confirmed use of medications Confirms medications (no new medications reported)
Followed up about inhaler use Uses an inhaler to treat asthma symptoms Inhaler is Proventil Reports most recent inhaler use was this morning Reports using inhaler every 4 hours or so since exacerbation Prescribed usage is 2 puffs Reports needing more than 2 puffs to resolve asthma symptoms
Confirmed allergies Confirms allergies (no new allergies reported)
Followed up on exposure to allergy and asthma triggers
Reports cat allergy triggered recent episodes Reports dust as a known trigger Reports activity such as walking up stairs as a known trigger Denies seasonal pattern Denies changes in weather as a trigger Reports minimal exposure to asthma triggers at work
Asked detailed questions about asthma history No current asthma doctor Diagnosed with asthma in childhood Age of diagnosis was 2 1/2 years old
Asked about hospitalizations for asthma Reports prior hospitalizations for asthma Reports last hospitalization was age 16 Estimates 5 total hospitalizations for asthma Reports she has never been intubated
Comments
If your instructor provides individual feedback on this assignment, it will appear here.
© Shadow Health 2012 - 2021 (800) 860-3241 | Help Desk (support.shadowhealth/) | Terms of Service (/static/terms_of_service) | Privacy Policy ↗ (/static/privacy_policy) | Patents (shadowhealth/patents)
®
Respiratory Completed Shadow Health Tina Jones
University: Valdosta State University
